Organization Active NPI

Rite Aid

  • Community Health Clinic/Center
  • Paradise, CA
National Provider Identifier
1275947863
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
69270 Issued in CA
Legal business name
RITE AID
Practice address
6007 Clark Rd
Paradise, CA 95969-4108
Phone
(530) 872-2700
NPI assigned
Jun 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jasmine DongNPI 1740733385
Title
Pharmacist
Phone
(650) 307-2755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 69270 CA Primary

Addresses

Primary practice location

6007 Clark Rd
Paradise, CA 95969-4108

Mailing address

2090 Sea Cliff Way
San Bruno, CA 94066-1043

National Provider Directory

National Provider Directory

Locations

6007 Clark Rd
Paradise, CA 95969
Phone (530) 872-2700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1275947863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 SEA CLIFF WAY",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940661043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 CLARK RD",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694108",
            "telephone_number": "530-872-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "DONG",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "650-307-2755"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "69270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.